Screening for adverse childhood experiences in antenatal care settings: A scoping review

Background: Adverse childhood experiences (ACEs) are associated with many health problems in women during pregnancy, including depression/anxiety, gestational diabetes and adverse birth outcomes. However, unlike other health risk factors, screening for ACEs has not been widely implemented in ante...

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第一著者: Biswas, Tuhin
フォーマット: 論文
言語:英語
出版事項: Aust N Z J Obstet Gynaecol 2025
主題:
オンライン・アクセス:https://repository.auw.edu.bd/handle/123456789/999
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author Biswas, Tuhin
author_facet Biswas, Tuhin
author_sort Biswas, Tuhin
collection institutional Repository
description Background: Adverse childhood experiences (ACEs) are associated with many health problems in women during pregnancy, including depression/anxiety, gestational diabetes and adverse birth outcomes. However, unlike other health risk factors, screening for ACEs has not been widely implemented in antenatal care settings. Aims: The aim of the scoping review was to explore the challenges in screen- ing for ACEs in antenatal care settings and to provide the lessons learnt and evi- dence that guide the practice of ACE screening for both healthcare providers and pregnant women. Methods: A five-stage process for conducting the scoping review was utilised. Searches of four key databases (PubMed, PsycINFO, CINAHL and SCOPUS) and ref- erence lists from relevant studies were conducted. Results: Seven publications met the inclusion criteria. Challenges identified for healthcare providers in screening for ACEs include lack of knowledge and confi- dence in ACE tool and shortage of time and resources to undertake screening. Impediments for pregnant women include concerns about privacy. However, there were examples of effective practice for ACE screening in antenatal care settings that could apply widely. Conclusion: Addressing impediments to ACE screening is critical in implement- ing trauma-informed practices that can identify women at risk of adverse health outcomes during pregnancy. A study on screening for ACEs in antenatal care in both public and private settings is needed to examine its feasibility and accept- ability in the Australian context before being included in the National Perinatal Data Collection.
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spelling 123456789-9992026-02-18T06:15:06Z Screening for adverse childhood experiences in antenatal care settings: A scoping review Biswas, Tuhin adverse childhood experiences, antenatal care, pregnant women, scoping review, screening. Background: Adverse childhood experiences (ACEs) are associated with many health problems in women during pregnancy, including depression/anxiety, gestational diabetes and adverse birth outcomes. However, unlike other health risk factors, screening for ACEs has not been widely implemented in antenatal care settings. Aims: The aim of the scoping review was to explore the challenges in screen- ing for ACEs in antenatal care settings and to provide the lessons learnt and evi- dence that guide the practice of ACE screening for both healthcare providers and pregnant women. Methods: A five-stage process for conducting the scoping review was utilised. Searches of four key databases (PubMed, PsycINFO, CINAHL and SCOPUS) and ref- erence lists from relevant studies were conducted. Results: Seven publications met the inclusion criteria. Challenges identified for healthcare providers in screening for ACEs include lack of knowledge and confi- dence in ACE tool and shortage of time and resources to undertake screening. Impediments for pregnant women include concerns about privacy. However, there were examples of effective practice for ACE screening in antenatal care settings that could apply widely. Conclusion: Addressing impediments to ACE screening is critical in implement- ing trauma-informed practices that can identify women at risk of adverse health outcomes during pregnancy. A study on screening for ACEs in antenatal care in both public and private settings is needed to examine its feasibility and accept- ability in the Australian context before being included in the National Perinatal Data Collection. 2025-08-07T08:43:41Z 2025-08-07T08:43:41Z 2022 Article https://repository.auw.edu.bd/handle/123456789/999 en application/pdf Aust N Z J Obstet Gynaecol
spellingShingle adverse childhood experiences, antenatal care, pregnant women, scoping review, screening.
Biswas, Tuhin
Screening for adverse childhood experiences in antenatal care settings: A scoping review
title Screening for adverse childhood experiences in antenatal care settings: A scoping review
title_full Screening for adverse childhood experiences in antenatal care settings: A scoping review
title_fullStr Screening for adverse childhood experiences in antenatal care settings: A scoping review
title_full_unstemmed Screening for adverse childhood experiences in antenatal care settings: A scoping review
title_short Screening for adverse childhood experiences in antenatal care settings: A scoping review
title_sort screening for adverse childhood experiences in antenatal care settings a scoping review
topic adverse childhood experiences, antenatal care, pregnant women, scoping review, screening.
url https://repository.auw.edu.bd/handle/123456789/999
work_keys_str_mv AT biswastuhin screeningforadversechildhoodexperiencesinantenatalcaresettingsascopingreview